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Active NPI 1154581221 Organization (Entity Type 2)

Integrated Technical Services

Technician, Other • Lighthouse Point, FL

About Integrated Technical Services NPI 1154581221 Summary

Integrated Technical Services is a verified healthcare organization specializing in Technician, Other operating in Lighthouse Point, FL. Located at 2436 N FEDERAL HWY, #392, this facility provides patient care and medical services under National Provider Identifier (NPI) 1154581221.

Administrative operations and authorized compliance are overseen by Russell Packard (Physician).

Facility Location & Contact Primary Location

Facility Address

2436 N Federal Hwy
#392

Lighthouse Point, FL 330646854

Telephone 8883954007
Fax 8883953941

Authorized Official Information

Authorized Contact Name

DR. Russell Packard , M.D.

Title / Role

Physician

Official Telephone

8883954007

Facility Classifications & Specialties

Technician, Other Primary Taxonomy

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 12, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 12, 2008

Registered at 2436 N FEDERAL HWY, #392, LIGHTHOUSE POINT, FL 330646854 (Tel: 8883954007)

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Updated Business Mailing Address June 12, 2008

Registered at 2436 N FEDERAL HWY, #392, LIGHTHOUSE POINT, FL 330646854 (Tel: 8883954007)

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Organization / Clinic Name Updated June 12, 2008

Operating as INTEGRATED TECHNICAL SERVICES

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2008

Technician, Other (License #A24773 in TX)

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Initial NPI Registration & Enumeration June 12, 2008

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1154581221
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 12, 2008
Last Update: June 12, 2008

Mailing Address

2436 N Federal Hwy, #392

Lighthouse Point, FL 330646854

Phone: 8883954007

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.